Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $36.72 / $50.45	Facility		$15.79	$36.72	$50.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $15.06 / $23.34	Professional		$9.17	$15.06	$23.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.13 / $188.91	Facility		$25.70	$52.13	$188.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.67 / $14.14	Professional		$3.50	$12.67	$14.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $43.90 / $84.88	Facility		$17.89	$43.90	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.30 / $27.88	Professional		$10.72	$22.30	$27.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $32.13 / $156.77	Professional		$19.28	$32.13	$156.77
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $23.87 / $23.87	Professional		$23.87	$23.87	$23.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $12.59 / $22.95	Professional		$9.18	$12.59	$22.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $12.48 / $18.91	Professional		$7.71	$12.48	$18.91